Physicians Eldercare Pa | |
4692 Brownsboro Rd Winston Salem NC 27106-3410 | |
(337) 991-9276 | |
(337) 943-0846 |
Full Name | Physicians Eldercare Pa |
---|---|
Speciality | General Practice |
Location | 4692 Brownsboro Rd, Winston Salem, North Carolina |
Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
Authorized Official Contact | 3379919276 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Physicians Eldercare Pa 5750 Johnston St Ste 205 Lafayette LA 70503-5334 Ph: (337) 991-9276 | Physicians Eldercare Pa 4692 Brownsboro Rd Winston Salem NC 27106-3410 Ph: (337) 991-9276 |
NPI Number | 1023083268 |
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Provider Enumeration Date | 02/21/2006 |
Last Update Date | 09/30/2024 |
Medicare PECOS PAC ID | 0648184705 |
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Medicare Enrollment ID | O20031113000745 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023083268 | NPI | - | NPPES |
012WF | Other | NC | BCBS |
CH9289 | Other | RR MRC | |
89012WF | Medicaid | NC | |
H140/45282 | Other | PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Stephanie M Goddard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770554040 PECOS PAC ID: 1759288988 Enrollment ID: I20031216000790 |
Provider Name | Gregory M Bugaj |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093773699 PECOS PAC ID: 6406845361 Enrollment ID: I20040507000239 |
Provider Name | Christopher M Herman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730156464 PECOS PAC ID: 2567443567 Enrollment ID: I20040526000566 |
Provider Name | Kemi S Douglas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225005028 PECOS PAC ID: 9133102742 Enrollment ID: I20040612000213 |
Provider Name | John P Gambino |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417924127 PECOS PAC ID: 9032197975 Enrollment ID: I20040708000779 |
Provider Name | Akiko Omura |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1437108610 PECOS PAC ID: 4688644040 Enrollment ID: I20040731000055 |
Provider Name | Stephanie D Brown |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952350241 PECOS PAC ID: 5799750394 Enrollment ID: I20040827000529 |
Provider Name | Catherine E Sanders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861590739 PECOS PAC ID: 6507834348 Enrollment ID: I20040920001159 |
Provider Name | Jeffrey Francis Severa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215928403 PECOS PAC ID: 7618942475 Enrollment ID: I20041103001038 |
Provider Name | Ann C Sumners |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922180504 PECOS PAC ID: 5496797136 Enrollment ID: I20050524000307 |
Provider Name | Paul Ziomek |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548357908 PECOS PAC ID: 7719955343 Enrollment ID: I20051206000961 |
Provider Name | Tamara Elizabeth Chittenden |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568495547 PECOS PAC ID: 3971524695 Enrollment ID: I20051209000298 |
Provider Name | Thomas John Calogero |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528138245 PECOS PAC ID: 6608846720 Enrollment ID: I20060106000185 |
Provider Name | Lisa Marie Forgione |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1881645562 PECOS PAC ID: 5698774107 Enrollment ID: I20061211000604 |
Provider Name | Rafael A Miranda |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336178706 PECOS PAC ID: 5092714394 Enrollment ID: I20061214000423 |
Provider Name | Carol A Pilote |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982618955 PECOS PAC ID: 7517966773 Enrollment ID: I20061215000504 |
Provider Name | Autumn N Henson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104893916 PECOS PAC ID: 7517967342 Enrollment ID: I20070102000033 |
Provider Name | Sean Md Larson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518052471 PECOS PAC ID: 4385647593 Enrollment ID: I20070201000269 |
Provider Name | Maria-dorina C Sevilla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114991098 PECOS PAC ID: 7416056312 Enrollment ID: I20070618000406 |
Provider Name | Lamonica Keith Stokes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093779662 PECOS PAC ID: 0648379750 Enrollment ID: I20070629000407 |
Provider Name | Albert Shederick Ford |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558369462 PECOS PAC ID: 4486746401 Enrollment ID: I20070822001184 |
Provider Name | Anita Wilson-merritt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710186812 PECOS PAC ID: 4981799616 Enrollment ID: I20070926000879 |
Provider Name | Reza Rezai |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891881959 PECOS PAC ID: 9436249232 Enrollment ID: I20071217000746 |
Provider Name | Karen Stukes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831376433 PECOS PAC ID: 0244314524 Enrollment ID: I20080226000122 |
Provider Name | Shiva K Rao |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1790779841 PECOS PAC ID: 8527147255 Enrollment ID: I20080507000204 |
Provider Name | Meredith Hardee Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871751784 PECOS PAC ID: 1951474840 Enrollment ID: I20080725000345 |
Provider Name | Dawn P Owens-watterson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225100613 PECOS PAC ID: 2961504527 Enrollment ID: I20081008000766 |
Provider Name | Bianca Rosso |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851350177 PECOS PAC ID: 8527123256 Enrollment ID: I20090212000715 |
Provider Name | Venezela Thomas Slade-hartman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083690036 PECOS PAC ID: 5294892097 Enrollment ID: I20090323000393 |
Provider Name | Margaret B Shires |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629211727 PECOS PAC ID: 5496805905 Enrollment ID: I20090603000688 |
Provider Name | Jim Ray Cleary |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1598771222 PECOS PAC ID: 5395896831 Enrollment ID: I20090707000469 |
Provider Name | Sherif G Naguib |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316905151 PECOS PAC ID: 6901959857 Enrollment ID: I20090724000708 |
Provider Name | Rajan Mitchell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881612687 PECOS PAC ID: 7719983766 Enrollment ID: I20090806000205 |
Provider Name | Khashana A Blake |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356543490 PECOS PAC ID: 7012053002 Enrollment ID: I20091005000638 |
Provider Name | Vinod K Doultani |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1487802377 PECOS PAC ID: 2668549924 Enrollment ID: I20091013000752 |
Provider Name | Serana Spalding Markham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699001354 PECOS PAC ID: 0345388187 Enrollment ID: I20091116000125 |
Provider Name | Scott A Sheldon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265475685 PECOS PAC ID: 2860432168 Enrollment ID: I20100213000037 |
Provider Name | Matthew A Ryan |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1982673778 PECOS PAC ID: 9638214380 Enrollment ID: I20100304001022 |
Provider Name | Dana Giarrizzi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497784680 PECOS PAC ID: 5395770044 Enrollment ID: I20100611000531 |
Provider Name | Dana Wolfe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053413773 PECOS PAC ID: 9537187729 Enrollment ID: I20110113000256 |
Provider Name | Michael Christopher Ragan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134458359 PECOS PAC ID: 6608058524 Enrollment ID: I20110314000232 |
Provider Name | Renee Irma Pitzele |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720113707 PECOS PAC ID: 7719152958 Enrollment ID: I20111215000944 |
Provider Name | Gerardo Enrique Arnaez Zapata |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114014511 PECOS PAC ID: 4183721467 Enrollment ID: I20120120000757 |
Provider Name | Morgan Greer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831467463 PECOS PAC ID: 8628235876 Enrollment ID: I20120131000622 |
Provider Name | Latoya Sheree Williamson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861766248 PECOS PAC ID: 7012178155 Enrollment ID: I20120417000152 |
Provider Name | Maureen A Tumolo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891963286 PECOS PAC ID: 4385814235 Enrollment ID: I20120418000154 |
Provider Name | Frieda M Menzer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801996285 PECOS PAC ID: 6800042912 Enrollment ID: I20120806000449 |
Provider Name | Maria J Diaz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972675775 PECOS PAC ID: 5294737169 Enrollment ID: I20120831000714 |
Provider Name | Stephanie R Weatherly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932451598 PECOS PAC ID: 3072764422 Enrollment ID: I20121112000096 |
Provider Name | Jeanne C Bernat |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952647026 PECOS PAC ID: 5597919670 Enrollment ID: I20130128000195 |
Provider Name | Lynn Barrier Barringer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710313796 PECOS PAC ID: 7618102450 Enrollment ID: I20131101000314 |
Provider Name | Shannon M Keef |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558791541 PECOS PAC ID: 0345471694 Enrollment ID: I20140329000173 |
Provider Name | Sonya Belin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013327949 PECOS PAC ID: 1557587011 Enrollment ID: I20140718002260 |
Provider Name | Melissa A Dawson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740601442 PECOS PAC ID: 9931325727 Enrollment ID: I20140731001548 |
Provider Name | Stephanie P Fargo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164846408 PECOS PAC ID: 1557587243 Enrollment ID: I20140802000059 |
Provider Name | Jennifer Parker Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013245745 PECOS PAC ID: 0648497479 Enrollment ID: I20140818002778 |
Provider Name | Sara Lynne Kitts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922425768 PECOS PAC ID: 4082832126 Enrollment ID: I20140902001431 |
Provider Name | Anne Marie Mukamana |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720405392 PECOS PAC ID: 6002034055 Enrollment ID: I20140904001110 |
Provider Name | Christopher Breuer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063689248 PECOS PAC ID: 4284854787 Enrollment ID: I20141006000632 |
Provider Name | Shenif Ladak |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1376948604 PECOS PAC ID: 5890018501 Enrollment ID: I20150105002200 |
Provider Name | Pacharo N Ndupu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194167080 PECOS PAC ID: 7618107335 Enrollment ID: I20150106001574 |
Provider Name | Angelica F Felton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902247299 PECOS PAC ID: 1759605454 Enrollment ID: I20150129001656 |
Provider Name | Alison D Harrison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225433311 PECOS PAC ID: 2860718186 Enrollment ID: I20150304001658 |
Provider Name | Tiyika J Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063803740 PECOS PAC ID: 9335466440 Enrollment ID: I20150331000623 |
Provider Name | Tolulola Omololu Adeola |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1578582797 PECOS PAC ID: 6608959465 Enrollment ID: I20150425000244 |
Provider Name | Stacey Stroh Rabindran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811371438 PECOS PAC ID: 5890002018 Enrollment ID: I20150920000001 |
Provider Name | Rebecca M Henderson |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1639496458 PECOS PAC ID: 7012169204 Enrollment ID: I20151007000724 |
Provider Name | Sylvia Ellis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154705911 PECOS PAC ID: 0941519136 Enrollment ID: I20151029001774 |
Provider Name | Megan Suzanne Abbott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063889749 PECOS PAC ID: 0446550974 Enrollment ID: I20151204001285 |
Provider Name | Kristin Mcnally |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558726745 PECOS PAC ID: 3274837133 Enrollment ID: I20160212001786 |
Provider Name | Melissa B Flack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750759833 PECOS PAC ID: 8123325164 Enrollment ID: I20160318000767 |
Provider Name | Elizabeth Cross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942666326 PECOS PAC ID: 0648577197 Enrollment ID: I20160328001793 |
Provider Name | Ashley Palmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356723159 PECOS PAC ID: 9234437849 Enrollment ID: I20160415000170 |
Provider Name | Sophia Praskala |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154772150 PECOS PAC ID: 3779871413 Enrollment ID: I20161012000402 |
Provider Name | Jennifer T Stutts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881084192 PECOS PAC ID: 1052630266 Enrollment ID: I20161108001614 |
Provider Name | Jasmine Dawn Wade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003351651 PECOS PAC ID: 0749564813 Enrollment ID: I20170309001192 |
Provider Name | Katherine M Stieb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568411072 PECOS PAC ID: 8123005576 Enrollment ID: I20170427001181 |
Provider Name | Ross Andrew Parkes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669913216 PECOS PAC ID: 2365719150 Enrollment ID: I20170526001275 |
Provider Name | Andre St Christopher Dyer |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1982022638 PECOS PAC ID: 6204147762 Enrollment ID: I20170803002494 |
Provider Name | Joshua Lee Mowery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528597739 PECOS PAC ID: 2860765617 Enrollment ID: I20170830002036 |
Provider Name | Esther Njuguna |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699134684 PECOS PAC ID: 5597063370 Enrollment ID: I20170913002946 |
Provider Name | Vlastimil Smetka |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497974273 PECOS PAC ID: 1658424825 Enrollment ID: I20180327000672 |
Provider Name | Hana Alqariab |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306348081 PECOS PAC ID: 9234493040 Enrollment ID: I20180502002774 |
Provider Name | Amanda Valerie Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972889749 PECOS PAC ID: 4789930348 Enrollment ID: I20180712000384 |
Provider Name | Michelle Breedlove |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316432099 PECOS PAC ID: 9133477755 Enrollment ID: I20180730002051 |
Provider Name | Tarra M Boyd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649762451 PECOS PAC ID: 2567710080 Enrollment ID: I20180731002189 |
Provider Name | Cassandra Restrepo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225527617 PECOS PAC ID: 8628326717 Enrollment ID: I20180806003357 |
Provider Name | Genevieve Angelina Morales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285123109 PECOS PAC ID: 4981954484 Enrollment ID: I20180904002569 |
Provider Name | Evelyn Chang Kwok |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124268834 PECOS PAC ID: 0547384125 Enrollment ID: I20181029001883 |
Provider Name | James Woody |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144705955 PECOS PAC ID: 5799029062 Enrollment ID: I20181128001074 |
Provider Name | Alexandra Nixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265950315 PECOS PAC ID: 1355607888 Enrollment ID: I20190118002610 |
Provider Name | Ivey Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063932473 PECOS PAC ID: 8729205505 Enrollment ID: I20190508003326 |
Provider Name | Tammy Graves Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578129151 PECOS PAC ID: 9234467523 Enrollment ID: I20190823003276 |
Provider Name | Danielle N Stovall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063072130 PECOS PAC ID: 0840529657 Enrollment ID: I20190904000947 |
Provider Name | Amber Dawn Clapp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518511625 PECOS PAC ID: 9335478429 Enrollment ID: I20190916001807 |
Provider Name | Marian Pokuah |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1861651093 PECOS PAC ID: 9234309634 Enrollment ID: I20191007000146 |
Provider Name | Tene Laverne Turner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972821510 PECOS PAC ID: 4183840093 Enrollment ID: I20191008003837 |
Provider Name | Joanna T Lindsay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346893344 PECOS PAC ID: 1951633767 Enrollment ID: I20191029000263 |
Provider Name | Robert Falge |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740218577 PECOS PAC ID: 8022248418 Enrollment ID: I20191106003081 |
Provider Name | Brandon Anthony Haubner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336526235 PECOS PAC ID: 0840595245 Enrollment ID: I20191118002877 |
Provider Name | Jennifer Powell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659880516 PECOS PAC ID: 7719312354 Enrollment ID: I20200108003023 |
Provider Name | Allona J Frazier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669015202 PECOS PAC ID: 6901231562 Enrollment ID: I20200109000649 |
Provider Name | Lee Yarber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417592080 PECOS PAC ID: 6608201074 Enrollment ID: I20200113000390 |
Provider Name | Jessica L Weiland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619453289 PECOS PAC ID: 9830441104 Enrollment ID: I20200129002878 |
Provider Name | Cresencia Grimm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306485008 PECOS PAC ID: 9638506355 Enrollment ID: I20200219000277 |
Provider Name | Kimberly Elizabeth Potter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073147393 PECOS PAC ID: 5395175509 Enrollment ID: I20200430000305 |
Provider Name | Randi Popp |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093793424 PECOS PAC ID: 9537107560 Enrollment ID: I20200530000194 |
Provider Name | Tiffany B Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265518732 PECOS PAC ID: 4587097613 Enrollment ID: I20200710003052 |
Provider Name | Chelsey Macedo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700402674 PECOS PAC ID: 7911321302 Enrollment ID: I20200717001485 |
Provider Name | Elspeth Angela Clark |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245625714 PECOS PAC ID: 6305135401 Enrollment ID: I20200904000219 |
Provider Name | Karen Griffin Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811467871 PECOS PAC ID: 4183957038 Enrollment ID: I20201130003004 |
Provider Name | Dominique Pinilla |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124103965 PECOS PAC ID: 4880604446 Enrollment ID: I20210112000782 |
Provider Name | Davina Norman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609475821 PECOS PAC ID: 6709293251 Enrollment ID: I20210329001599 |
Provider Name | Kelsey B Coates |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417544297 PECOS PAC ID: 0042627325 Enrollment ID: I20210402000887 |
Provider Name | Michelle Marie Stockhaus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952787996 PECOS PAC ID: 0446556062 Enrollment ID: I20210602002605 |
Provider Name | Dominique Moreno |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346861341 PECOS PAC ID: 5991121493 Enrollment ID: I20210608002615 |
Provider Name | Stephanie Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770993412 PECOS PAC ID: 3476873480 Enrollment ID: I20210611001039 |
Provider Name | Anna Mataruka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497204119 PECOS PAC ID: 1658653357 Enrollment ID: I20210614000807 |
Provider Name | Andrew E Mcgettigan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700107034 PECOS PAC ID: 3072887660 Enrollment ID: I20210618001300 |
Provider Name | Krystle Mcgee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528542917 PECOS PAC ID: 6103160304 Enrollment ID: I20210816004130 |
Provider Name | Crystal Gilmore-hope |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245797943 PECOS PAC ID: 6406281658 Enrollment ID: I20210826001296 |
Provider Name | Janis E Buono |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811567662 PECOS PAC ID: 8123424314 Enrollment ID: I20210914001920 |
Provider Name | Faiza Niaz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336370816 PECOS PAC ID: 2567627151 Enrollment ID: I20210922001180 |
Provider Name | Whitney Moody |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730858226 PECOS PAC ID: 0143627620 Enrollment ID: I20210927001017 |
Provider Name | La'trina Witherspoon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992384341 PECOS PAC ID: 5395134373 Enrollment ID: I20211112000955 |
Provider Name | Corinne P Meynardie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609413566 PECOS PAC ID: 8123458999 Enrollment ID: I20220210000514 |
Provider Name | Sherrika Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144681594 PECOS PAC ID: 1254639875 Enrollment ID: I20220224002175 |
Provider Name | Angela D Perry |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467475061 PECOS PAC ID: 6002233871 Enrollment ID: I20220329001419 |
Provider Name | Blanche Noelle Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194473702 PECOS PAC ID: 3971981721 Enrollment ID: I20220607000808 |
Provider Name | Jamye Buckner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912488941 PECOS PAC ID: 0840532024 Enrollment ID: I20220718002801 |
Provider Name | Kara M Plemmons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578202990 PECOS PAC ID: 2769864586 Enrollment ID: I20220726003352 |
Provider Name | Kristin Claude |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396225769 PECOS PAC ID: 8426302548 Enrollment ID: I20220824002151 |
Provider Name | Marian Stokes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043562150 PECOS PAC ID: 9436394079 Enrollment ID: I20220907003837 |
Provider Name | Meredith Altenburg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659043412 PECOS PAC ID: 7810382843 Enrollment ID: I20220916000716 |
Provider Name | Sarah Ann Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558611772 PECOS PAC ID: 2961636220 Enrollment ID: I20221015000070 |
Provider Name | Binyue Chang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427497817 PECOS PAC ID: 0042433674 Enrollment ID: I20221019003142 |
Provider Name | Catherine Mendoza Conrad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053039628 PECOS PAC ID: 2365812526 Enrollment ID: I20230104000458 |
Provider Name | Amber Vermeesch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689716995 PECOS PAC ID: 4082711098 Enrollment ID: I20230113002131 |
Provider Name | Clay Corpening Ijams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154033736 PECOS PAC ID: 7012388507 Enrollment ID: I20230119002610 |
Provider Name | Jaskeerat Singh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487035945 PECOS PAC ID: 4981915600 Enrollment ID: I20230207000881 |
Provider Name | Sarah A Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821701541 PECOS PAC ID: 1951773399 Enrollment ID: I20230213000988 |
Provider Name | Silvia Krug |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114638343 PECOS PAC ID: 7214309327 Enrollment ID: I20230217000511 |
Provider Name | Cynthia Beth Hatch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750093282 PECOS PAC ID: 4587037387 Enrollment ID: I20230227000157 |
Provider Name | Shelby Lee Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336608009 PECOS PAC ID: 3971845892 Enrollment ID: I20230317001855 |
Provider Name | Darlene Brownlee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114157260 PECOS PAC ID: 0941333587 Enrollment ID: I20230330002328 |
Provider Name | Jennifer Bostick |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144756248 PECOS PAC ID: 0840561288 Enrollment ID: I20230407001160 |
Provider Name | Dana Wiley |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427006808 PECOS PAC ID: 5799726923 Enrollment ID: I20230419002811 |
Provider Name | Nicole Ely |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134825433 PECOS PAC ID: 4587029806 Enrollment ID: I20230420001042 |
Provider Name | Laderria Whitted |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760189880 PECOS PAC ID: 7315302486 Enrollment ID: I20230424002430 |
Provider Name | Jennifer Lynn Lasure |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790474112 PECOS PAC ID: 4789040627 Enrollment ID: I20230518000622 |
Provider Name | John Steven Ellis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093407371 PECOS PAC ID: 3375900186 Enrollment ID: I20230609002939 |
Provider Name | Antonio Gamboa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154356780 PECOS PAC ID: 2264468222 Enrollment ID: I20230818002450 |
Provider Name | Erica Mingo |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1841588548 PECOS PAC ID: 0840682712 Enrollment ID: I20231116000289 |
Provider Name | Michele Olivia Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497406979 PECOS PAC ID: 4981055027 Enrollment ID: I20240112002169 |
Provider Name | Amber Elizabeth Jaggars |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164291159 PECOS PAC ID: 1850743014 Enrollment ID: I20240123004517 |
Provider Name | Gina Desanto |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871656298 PECOS PAC ID: 1052370616 Enrollment ID: I20240223003289 |
Provider Name | Allison Buryk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174151922 PECOS PAC ID: 1456781327 Enrollment ID: I20240316000069 |
Provider Name | Sarah Lynn Mevissen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841927001 PECOS PAC ID: 5698116259 Enrollment ID: I20240514001031 |
Provider Name | Angela Demetrius |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033852959 PECOS PAC ID: 9931540473 Enrollment ID: I20240515000130 |
Provider Name | Khianna Nichole Bryant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063269439 PECOS PAC ID: 1658713532 Enrollment ID: I20240523001107 |
Mccorkle Laboratory Enterprise Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W 5th St Ste 800, Winston Salem, NC 27101 Phone: 336-800-5227 | |
North Carolina General Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3051 Waughtown St, Winston Salem, NC 27107 Phone: 336-726-5090 | |
Wake Forest University Health Sciences Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Atrium Health Wake Forest Baptist Family Medicine - Westbrook Plaza Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1665 Westbrook Plaza Dr, Winston Salem, NC 27103 Phone: 336-760-8380 Fax: 336-760-8388 | |
Preventative Wellness Solutions I Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3878 Oxford Station Way, Winston Salem, NC 27103 Phone: 336-517-0072 | |
Novant Health Forsyth Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Jonestown Rd, Winston Salem, NC 27104 Phone: 336-769-9515 Fax: 336-768-9082 |